Accura Healthcare of Shenandoah
1203 South Elm Street · Shenandoah, IA · 51601 · 7122464627
42 certified beds For profit - Limited Liability company Chain: Accura Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.29 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 1 · $8,414 |
Inspection citations (32 in the current record)
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Potential for harm · D September 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 10, 2025 · Resident Rights
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Potential for harm · D September 18, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 10, 2025 · Resident Rights
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Potential for harm · D September 18, 2025
Ensure each resident receives an accurate assessment.
Corrected October 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · E September 18, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 10, 2025 · Nursing and Physician Services
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Potential for harm · E September 18, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · E September 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · E September 18, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected October 10, 2025 · Administration
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Potential for harm · D September 18, 2025
Provide and implement an infection prevention and control program.
Corrected October 10, 2025 · Infection Control
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Potential for harm · E September 18, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 10, 2025 · Nursing and Physician Services
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Potential for harm · D October 17, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 7, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Ensure each resident receives an accurate assessment.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 17, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 7, 2024 · Nursing and Physician Services
-
Potential for harm · E October 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 7, 2024 · Nutrition and Dietary
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Potential for harm · E October 17, 2024
Provide and implement an infection prevention and control program.
Corrected November 7, 2024 · Infection Control
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Potential for harm · D September 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J December 6, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K December 6, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 7, 2023 · Resident Rights
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Actual harm · G June 29, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 18, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 18, 2023 · Resident Rights
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Potential for harm · D June 29, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 18, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 6, 2023 | Fine | $8,414 |
| June 29, 2023 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165529 · certified since April 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.